Lacy D. Russell, APRN
NPI #1275001869 in Salyersville, Kentucky
Provider Information
- NPI Number
- 1275001869
- Entity Type
- Individual
- Name
- Lacy D. Russell, APRN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Nov 13, 2018
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 268 E MAPLE ST
- City
- Salyersville
- State
- Kentucky
- ZIP Code
- 41465-8032
- Phone
- (606) 349-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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